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AMIT SHARMA, M.D., P.C.

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Company Details

Name: AMIT SHARMA, M.D., P.C.
Jurisdiction: New York
Legal type: DOMESTIC PROFESSIONAL SERVICE CORPORATION
Status: Active
Date of registration: 20 May 2014 (11 years ago)
Entity Number: 4579653
ZIP code: 11788
County: Suffolk
Place of Formation: New York
Address: 100 Motor Parkway, Ste LL-8, Hauppauge, NY, United States, 11788
Principal Address: 100 Motor Parkway, Are LL-8, Hauppauge, NY, United States, 11788

Contact Details

Phone +1 631-422-5371

Shares Details

Shares issued 200

Share Par Value 0

Type NO PAR VALUE

DOS Process Agent

Name Role Address
THE CORPORATION DOS Process Agent 100 Motor Parkway, Ste LL-8, Hauppauge, NY, United States, 11788

Chief Executive Officer

Name Role Address
AMIT SHARMA MD Chief Executive Officer 100 MOTOR PARKWAY STE LL8, HAUPPAUGE, NY, United States, 11788

National Provider Identifier

NPI Number:
1669014197
Certification Date:
2024-10-01

Authorized Person:

Name:
AMIT SHARMA
Role:
OWNER
Phone:

Taxonomy:

Selected Taxonomy:
291U00000X - Clinical Medical Laboratory
Is Primary:
No
Selected Taxonomy:
208VP0014X - Interventional Pain Medicine Physician
Is Primary:
Yes

Contacts:

Fax:
6312485583

History

Start date End date Type Value
2024-08-29 2024-08-29 Address 1175 MONTAUK HWY, WEST ISLIP, NY, 11795, USA (Type of address: Chief Executive Officer)
2024-08-29 2024-08-29 Address 100 MOTOR PARKWAY STE LL8, HAUPPAUGE, NY, 11788, USA (Type of address: Chief Executive Officer)
2020-04-02 2024-08-29 Address 1175 MONTAUK HWY, WEST ISLIP, NY, 11795, USA (Type of address: Chief Executive Officer)
2014-05-20 2024-08-29 Shares Share type: NO PAR VALUE, Number of shares: 200, Par value: 0
2014-05-20 2024-08-29 Address 1175 MONTAUK HIGHWAY, SUITE 6, WEST ISLIP, NY, 11795, 4939, USA (Type of address: Service of Process)

Filings

Filing Number Date Filed Type Effective Date
240829003956 2024-08-29 BIENNIAL STATEMENT 2024-08-29
200504060151 2020-05-04 BIENNIAL STATEMENT 2020-05-01
200402060534 2020-04-02 BIENNIAL STATEMENT 2018-05-01
140520000021 2014-05-20 CERTIFICATE OF INCORPORATION 2014-05-20

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Date of last update: 25 Mar 2025

Sources: New York Secretary of State